Individual provider Active NPI

Sarah Lou McCrary, APRN-CNP

  • Gerontology Nurse Practitioner
  • Greenville, TX
National Provider Identifier
1740896539
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1011152 Issued in TX
Practice address
4101 Wesley St Ste C
Greenville, TX 75401-5635
Phone
(903) 454-8111
Fax
(903) 455-8001
NPI assigned
Sep 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1011152 TX Primary

Addresses

Primary practice location

4101 Wesley St Ste C
Greenville, TX 75401-5635

Mailing address

4101 Wesley St Ste C
Greenville, TX 75401-5635
Phone (903) 454-8111

Other identifiers 1

IdentifierTypeStateIssuer
1011152OtherTXTEXAS BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210407000189 TX Practitioner - Nurse Practitioner 9638586837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dee G. McCrary Jr. MD PAGroup PAC ID 9234020553, 5 clinicians

Practice addresses (Care Compare)

4101 Wesley St
Suite C
Greenville, TX 75401-5635
Phone 903454811115905

Hospital & facility affiliations

  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dee G. McCrary Jr. MD PA CurrentSince Mar 1, 2021 Accepting new patients
Suzanne E Monday MD Past Accepting new patients

Locations

4101 Wesley St
Ste C
Greenville, TX 75401
Phone (903) 454-8111

Interoperability endpoints

  • Direct secure messaging: sarah.mccrary@gha.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1740896539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 WESLEY ST STE C",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015635",
            "telephone_number": "903-454-8111",
            "fax_number": "903-455-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 WESLEY ST STE C",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015635",
            "telephone_number": "903-454-8111",
            "fax_number": "903-455-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRARY",
        "first_name": "SARAH",
        "middle_name": "LOU",
        "name_prefix": "Miss",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1011152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "1011152",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.